Total Pediatric Healthcare

LBN: Total Pediatric Healthcare
Total Pediatric Healthcare is an health care organization with primary practice located at 203 Kingsway Rd Ste A, Brandon FL 33510-4679. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Total Pediatric Healthcare can be contacted via phone (813) 655-5106, or through Grant, Stewart Aubrey via phone (813) 655-5106.

Contact Information

Primary practice address
203 Kingsway Rd Ste A Brandon FL 33510-4679
Phone: (813) 655-5106
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grant, Stewart Aubrey Doctor of Medicine (MD)
Phone: (813) 655-5106

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME72163 Florida

Profile Details

NPI number 1639447352
LBN Legal business name Total Pediatric Healthcare
DBA Doing business as
Authorized official Grant, Stewart Aubrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639447352 NPPES
Florida MEDICAID 252632800

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